LYDIA J MATHIS (LPC) – Mental Health Counselor, NPI 1780355867

LYDIA J MATHIS (LPC) is a healthcare provider. based in Boulder, Colorado. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. LPC.0022484 (CO). The NPI Number for LYDIA J MATHIS (LPC) is 1780355867

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
LYDIA J MATHIS (LPC)
NPI
1780355867
Phone
(937) 999-8374
Address
3800 COLORADO AVE UNIT B
Enumeration Date
28 September 2021
Last Update Date
18 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7207224496
Graduation Year
2023 (3 years ago)
PAC ID
3072013861
Group Practice PAC ID
6305734203
Professional Enrollment ID
I20250826001154
Address ID
CO802314360DE3201XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:4State licenses:1Digital endpointsOther names

2,207 MENTAL HEALTH COUNSELOR in CO

Provider Addresses for LYDIA J MATHIS (LPC)

  • 3800 COLORADO AVE UNIT B

    BOULDER, CO 803032102

    Phone: (937) 999-8374

    Type: Mailing

  • 3201 S TAMARAC DR

    DENVER, CO 802314360

    Phone: (303) 597-5000

    Type: Location

  • 1275 S BIRCH ST APT 207

    DENVER, CO 802467818

    Phone: (937) 999-8374

    Type: Mailing

  • 2450 S VINE ST

    DENVER, CO 802105264

    Phone: (937) 999-8374

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250826001154IMental Health CounselorCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80303)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305734203View full group profile
NameSpecialtyState
Marriage And Family TherapistCA
-CO
Mental Health CounselorCO
Clinical Social WorkerCO
Clinical PsychologistCO
Clinical Social WorkerCO
Clinical Social WorkerCO
Mental Health CounselorCO
Clinical Social WorkerCO
Clinical Social WorkerCO

Reviews

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Frequently asked questions

Can I verify LYDIA J MATHIS (LPC) with an NPI only?
You can start verification with NPI 1780355867 for LYDIA J MATHIS (LPC), then check state licensing separately.
Does CMS list LYDIA J MATHIS (LPC) as active?
Yes — LYDIA J MATHIS (LPC) is active in the NPI listing used on this page.
What is LYDIA J MATHIS (LPC)'s primary classification?
Mental Health Counselor is the headline specialty for LYDIA J MATHIS (LPC) here. Clinical services aligned with this taxonomy classification.
What address line appears for LYDIA J MATHIS (LPC)?
LYDIA J MATHIS (LPC)'s geographic hint is Boulder, Colorado in our summary view.
Is the information about LYDIA J MATHIS (LPC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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